{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:16:19Z","timestamp":1777882579539,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T00:00:00Z","timestamp":1771977600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of the study was to investigate the effects of a 6-week physiotherapist-led structured physical exercise program (SPEP) alongside routine medication on glycemic control, physical fitness, and quality of life in adults with type 2 diabetes mellitus (T2DM) in Bangladesh.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Ninety adults with T2DM for over 3 years were randomly assigned to an experimental (n = 45) or control group (n = 45). The experimental group performed 3 supervised SPEP sessions per week plus prescribed medication, and the control group continued routine medication with lifestyle guidance for 6 weeks. Glycemic control, assessed by capillary blood glucose (CBG), was the primary outcome. Secondary outcomes included physical fitness 6-minute walk test (6MWT), and quality of life (Short Form-36 [SF-36]). Assessments were conducted at baseline and postintervention by blinded assessors, and data were analyzed using the intention-to-treat principle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Baseline characteristics were comparable. Both groups improved across outcomes, with greater gains in the experimental group, including reductions in CBG, increased 6MWT distance, and higher SF-36 scores. Adherence was high, and no serious adverse events occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Six weeks of physiotherapist-led SPEP added to routine medication improved glycemic control, physical fitness, and quality of life in adults with T2DM. These findings support the feasibility and short-term efficacy of structured exercise in this population. Future studies should assess long-term sustainability and metabolic benefits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106261422666","type":"journal-article","created":{"date-parts":[[2026,2,25]],"date-time":"2026-02-25T13:23:50Z","timestamp":1772025830000},"page":"138-149","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Effects of Structured Physical Exercise Program and Medication on Glycemic Control in Type 2 Diabetes Mellitus in Bangladesh: A Randomized Controlled Trial"],"prefix":"10.1177","volume":"52","author":[{"given":"Suraiya Yesmin","family":"Sharna","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-9764-9174","authenticated-orcid":false,"given":"Kazi Md Azman","family":"Hossain","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md. Feroz","family":"Kabir","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh"},{"name":"Department of Physiotherapy, BRB Hospitals Limited, Dhaka, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Md. Zahid","family":"Hossain","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sharmila","family":"Jahan","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehsanur","family":"Rahman","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation, Jashore University of Science and Technology, Jashore, Bangladesh"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazi Md. 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